Individual
DR. IRWIN BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4343 KISSENA BLVD, FLUSHING, NY 11355-2950
(718) 358-7811
Mailing address
4343 KISSENA BLVD, FLUSHING, NY 11355-2950
(718) 358-7811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0022696
NY
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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